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For Fred Nenner, MSW, and the rest of the staff at Lutheran Medical Center in New York City, successfully returning injured immigrant patients to their family in their native country is one of the most challenging and rewarding jobs they tackle.
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"When faced with an increasing number of immigrants who don't have funding for post-acute care, hospital case managers and social workers must use their ingenuity to come up with creative options that lessen the financial burden of care," says Deborah Cruze, JD, MA, program associate, health sciences and ethics at Emory University's Center for Ethics in Atlanta.
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Would it surprise you that the number of patients leaving a hospital against medical advice (AMA) increased 39% between 1997 and 2007? The number totaled 368,000 in 2007, says a new report from the Agency for Healthcare Research and Quality.
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Hospitals sometimes fail to transition patients to the optimal level of care, which can create issues with quality of care and reimbursement.
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At Carolinas Medical Center, the management team and a panel of case managers and social workers interview all potential employees and collaborate on who will fit best in the department.
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When hospitalists use discharge communication software, patients and the outpatient doctors who carry out the care have better perceptions of the quality of the discharge process, according to new research published in the August issue of the Journal of Hospital Medicine.
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Increased communication among the multidisciplinary patient care team has increased patient throughput at Duke University Hospital, a 924-bed acute care facility in Durham, NC.
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By providing care coordination throughout the continuum for patients with multiple chronic conditions, the Sacramento Sierra Region of Sutter Health has significantly decreased emergency department visits and hospitalizations.
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If you want to convince your hospital administration to approve case managers in the emergency department, you have to put together a plan that outlines why doing so would be in the hospital's best interest, suggests Toni Cesta, RN, PhD, FAAN, senior vice president, operational efficiency and capacity management at Lutheran Medical Center in Brooklyn, NY, and health care consultant and partner in Case Management Concepts LLC.
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The Centers for Medicare & Medicaid Services (CMS) has granted hospitals a temporary reprieve from a reduction in Medicare payments.